Insomnia in Patients Participating in Interdisciplinary Pain Rehabilitation

Norwegian University of Science and Technology

Status: Invitation-only

Conditions: Musculoskeletal Pain; Insomnia

Treatments: Behavioral: Inpatient rehabilitation; Behavioral: Outpatient day rehabilitation

Study type: Observational

Funder types: Other

Identifiers

NCT06478628

547864

Details and patient eligibility

About

The main purpose of this project is to conduct a prospective cohort study in order to better understand the importance of insomnia symptoms in patients referred to interdisciplinary rehabilitation due to chronic pain. Moreover, this project will also raise awareness on how insomnia symptoms, alone, and in interplay with factors such as function, psychological distress, physical activity, and fatigue impact on patient's prognosis and work ability. Our aim is that this knowledge can be used to design new interventions and improve rehabilitation programs for this patient group.

Full description

Insomnia is a vast problem among patients with chronic musculoskeletal pain. Despite the close relation between pain and sleep, sleep quality has received little attention in rehabilitation programs for patients with pain. So far, there is a lack of studies investigating the association between insomnia and chronic pain in patients referred to interdisciplinary rehabilitation. Identifying subgroups of the population with higher burden of poor sleep will aid clinicians to tailor treatment and prevention strategies. Moreover, knowledge on how insomnia symptoms fluctuate throughout the rehabilitation program and how insomnia symptoms interact with factors such as mental distress, physical activity, and fatigue impact on patient's recovery (e.g., the prognosis of pain, quality of life, and work participation) can be used to develop and implement more successful rehabilitation programs.

This is a cohort study primarily designed to address sleep problems in patients referred for pain rehabilitation by using questionnaire data from the rehabilitation centers linked to registry data. This study will constitute both a cross-sectional survey among patients referred to rehabilitation before they participate in rehabilitation. In addition to questionnaires, administrative data and clinical data, these data will be linked to national health registries on prescriptions, health care use and sickness absence. Potential participants are patients referred to rehabilitation at five different Unicare rehabilitation centers in Norway (Unicare Helsefort, Unicare Coperio, Unicare Hokksund, Unicare Friskvern and Unicare Jeløy) due to long-term pain complaints.

Enrollment: 1,500 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Take part in rehabilitation for long-term pain complaints at one of the five centers
• Consented to research

Exclusion criteria

• None

Trial design

1,500 participants in 5 patient groups

Unicare Helsefort

Description:

Patients taking part in rehabilitation due to pain at Unicare Helsefort

Treatment:

Behavioral: Inpatient rehabilitation

Unicare Hokksund

Description:

Patients taking part in rehabilitation due to pain at Unicare Hokksund

Treatment:

Behavioral: Outpatient day rehabilitation

Behavioral: Inpatient rehabilitation

Unicare Coperio

Description:

Patients taking part in rehabilitation due to pain at Unicare Coperio

Treatment:

Behavioral: Outpatient day rehabilitation

Unicare Jeløy

Description:

Patients taking part in rehabilitation due to pain at Unicare Jeløy

Treatment:

Behavioral: Outpatient day rehabilitation

Behavioral: Inpatient rehabilitation

Unicare Friskvern

Description:

Patients taking part in rehabilitation due to pain at Unicare Friskvern

Treatment:

Behavioral: Outpatient day rehabilitation